Bichectomy (Removal of Bichat’s Fat Pads)

What Is a Bichectomy?

A bichectomy is a cosmetic surgical procedure that reduces the volume of the cheeks by removing or reducing the Bichat fat pads (also known as buccal fat pads).
It is commonly requested by individuals seeking a more sculpted and refined facial appearance, especially if they feel their face appears too round.

Advantages of the Procedure

• The surgery is performed inside the mouth, so no visible facial scars are left.
• Results begin to appear after 15 days and become fully visible in 1 to 3 months, depending on facial anatomy.
• Reduces cheek volume for a more contoured and harmonious face shape.
• Particularly effective for those who feel self-conscious about having a round or overly full face.

How the Surgery Works

• Performed in a sterile operating room
• Can be done under local or general anesthesia
• A small incision is made inside the mouth
• The Bichat fat pads are partially removed or reduced
• The incision is closed with absorbable sutures

What to Expect After Surgery

• The procedure is typically performed on an outpatient basis, meaning you can go home the same day.
• A 15-day legal reflection period is required before any cosmetic surgery in France.

Post-Operative Instructions

• Swelling is common in the days following surgery. Applying ice packs (never directly on the skin) can help reduce it.
• You’ll be prescribed:
  • Painkillers
  • Antiseptic mouthwashes
• Healing is typically quick. The stitches inside the mouth dissolve on their own within a few days.